Metacognitions as a predictor of drinking status and level of alcohol use following CBT in problem drinkers: A prospective study

This study investigated the role of negative emotions and metacognitions in predicting problem drinkers' drinking status (absence or presence of drinking) and level of weekly alcohol use at 3, 6 and 12 months after a course of treatment. A total of 70 problem drinkers with a DSM-IV diagnosis of alcohol abuse participated in the study. Depressive symptoms were assessed with the Beck Depression Inventory and symptoms of anxiety were measured with the state anxiety sub-scale of the State-Trait Anxiety Inventory. Metacognitions were measured with the Meta-Cognitions Questionnaire. Results indicated that beliefs about need to control thoughts predicted: (1) drinking status at 3 and 6 months; and (2) level of weekly alcohol use at 3, 6 and 12 months. The contribution of metacognition was independent of negative emotions and initial level of weekly alcohol use. The results support the role of metacognition in problem drinking. Given that metacognitions are a possible risk factor for drinking status and level of weekly alcohol use it is suggested that treatment for problem drinking could target this variable.     

Mind-World Identity Theory and Semantic Realism: Haldane and Boulter on Aquinas

Stephen Boulter, in The Philosophical Quarterly , 48 (1998), pp. 504–13, attacks John Haldane's proposed account of the relationship between mind and world based on Aquinas' theory of cognition. Boulter argues against Haldane's attempt to square metaphysical realism with semantic anti-realism. I argue that even if metaphysical realism and a full-bodied semantic anti-realism may be incompatible, from the stance of the mind-world identity theory, one may nevertheless maintain metaphysical realism together with the negation of semantic realism. I suggest that this is what Haldane actually claimed, and moreover that Aquinas would have accepted it. Aquinas' analogy-based semantics enlarges the recognitional capacities of speakers, and one's capacity to recognize a fact empirically is different from one's capacity to form thoughts about a fact.     

Schwere Anorexia nervosa

Background

Psychosomatic support during acute medical treatment of patients with anorexia nervosa is a special need but up to now a rare constellation. These patients can barely accept necessary somatic procedures even if they suffer from severe consequences of the eating disorder. The ambivalence of patients towards treatment is explained by the loss of the right perception of their bodies and the strong obsession with further weight loss.

Methods

This article reports on eight consecutively treated patients on a medical ward who received a liaison psychosomatic, psychotherapeutic visit twice a week. The aim was to maintain better therapy adherence, to support oral food intake and understanding of the disorder as well as to motivate patients for further psychosomatic treatment.

Results

By means of a respectful cooperation between the departments of internal medicine and psychosomatics it was possible to gain psychotherapeutic access to the patients in this highly complicated situation.

Consequence

The psychodynamic aspects of this collaboration are discussed with a focus on the triangulation of the therapeutic process.     

A Conditional Process Analysis of the Coach-Created Mastery Climate,Task Goal Orientation,and Competence Satisfaction in Youth Soccer: The Moderating Role of Controlling Coach Behavior

The purpose of this study was to investigate controlling coach behavior as a boundary condition for the relationship between a mastery climate, task goal orientation, and competence satisfaction in youth soccer. Latent conditional process modeling was conducted with a sample of 1,119 female and male youth soccer players 10–15 years of age. Results indicated that the interaction between controlling coach behavior and coach-created mastery climate accounted for 4% variance in task goal orientation. Furthermore, the indirect link between coach-created mastery climate and competence, through task goal orientation, was significant at all levels of controlling coach behavior, yet decreased from low (–1 SD; B =.40, 95% confidence interval [CI_BC] [.28,.52]), to moderate (M; B =.35, 95% CI_BC [.26,.46]), to high levels (+1 SD; B =.31, 95% CI_BC [.22,.41]). Findings are interpreted as supporting the idea that controlling coach behavior abates the internalization of mastery values, thereby undermining the relationship between the coach-created mastery climate and players' competence satisfaction.     

Auditory Hallucinations as Social Self-Positions: A Theoretical Discussion from a Single-Case Study

This work uses social positioning analysis to investigate the phenomenon of the auditory verbal hallucination (AVH) in schizophrenia in order to describe its social and interactive nature. We focus in detail on a single-case study of a patient who verbalized her AVHs. We analyze 3 significant excerpts from an interview with a person with paranoid schizophrenia. This interview is part of a larger study conducted with 18 participants about life narrative construction in the sociocultural context of care homes. The interaction between the patient and her voices is examined closely to reveal the dynamic between interviewer, patient, and voices. The analysis differentiates the voice of the patient from that of the hallucination and reveals “social interaction” between this dyad and the interviewer. We discuss a possible social and interactive framework to understand the origin of AVHs and the self-construction process.     

The semantic specificity of gestures when verbal communication is not possible: The case of emergency evacuation

The aim of the present study was to examine the comprehension of gesture in a situation in which the communicator cannot (or can only with difficulty) use verbal communication. Based on theoretical considerations, we expected to obtain higher semantic comprehension for emblems (gestures with a direct verbal definition or translation that is well known by all members of a group, or culture) compared to illustrators (gestures regarded as spontaneous and idiosyncratic and that do not have a conventional definition). Based on the extant literature, we predicted higher semantic specificity associated with arbitrarily coded and iconically coded emblems compared to intrinsically coded illustrators. Using a scenario of emergency evacuation, we tested the difference in semantic specificity between different categories of gestures. 138 participants saw 10 videos each illustrating a gesture performed by a firefighter. They were requested to imagine themselves in a dangerous situation and to report the meaning associated with each gesture. The results showed that intrinsically coded illustrators were more successfully understood than arbitrarily coded emblems, probably because the meaning of intrinsically coded illustrators is immediately comprehensible without recourse to symbolic interpretation. Furthermore, there was no significant difference between the comprehension of iconically coded emblems and that of both arbitrarily coded emblems and intrinsically coded illustrators. It seems that the difference between the latter two types of gestures was supported by their difference in semantic specificity, although in a direction opposite to that predicted. These results are in line with those of Hadar and Pinchas‐Zamir (2004), which showed that iconic gestures have higher semantic specificity than conventional gestures.